Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-26T13:24:29.614Z Has data issue: false hasContentIssue false

External auditory canal exostoses: long-term surgical satisfaction and its relationship with surgical complications

Published online by Cambridge University Press:  18 June 2021

J R Costa*
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Centro Hospitalar Universitário do Porto, Porto, Portugal
A Castro
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Centro Hospitalar Universitário do Porto, Porto, Portugal
J Lino
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Centro Hospitalar Universitário do Porto, Porto, Portugal
T Soares
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Centro Hospitalar Universitário do Porto, Porto, Portugal
C Almeida e Sousa
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Centro Hospitalar Universitário do Porto, Porto, Portugal
*
Author for correspondence: Dr Joana Raquel Costa, Largo Prof. Abel Salazar, 4099-001Porto, Portugal Email: [email protected]

Abstract

Objective

The main purpose of the present study was to evaluate whether complications related to surgery for exostoses are associated with a decrease in patients’ quality of life.

Methods

This was a retrospective study for which the following information was collected: sex, age, pre- and post-operative symptoms, pre- and post-operative audiological evaluation results, surgical approach, instruments used, complications, and Glasgow Benefit Inventory score.

Results

The study included 67 patients (94 ears). The three main complaints reported were wax retention, otitis externa and hearing loss. Surgical complications occurred in 14.9 per cent of patients. Patients experienced a significant benefit from surgery, especially in relation to somatic state, with a global Glasgow Benefit Inventory score of + 44.3. No significant difference was found between the global Glasgow Benefit Inventory changes and surgery-related complications (p = 0.093).

Conclusion

After surgery for exostoses, the vast majority of patients showed improvement. Complications related to surgery in general do not seem to influence patients’ satisfaction with surgery.

Type
Main Articles
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr J R Costa takes responsibility for the integrity of the content of the paper

References

O'Connell, BP, Lambert, PR. Exostoses and Osteomas of External Auditory Canal. Encyclopedia of Otolaryngology, Head and Neck Surgery. Berlin: Springer, 2013Google Scholar
Wong, BJ, Cervantes, W, Doyle, KJ, Karamzadeh, AM, Boys, P, Brauel, G et al. Prevalence of external auditory canal exostoses in surfers. Arch Otolaryngol Head Neck Surg 1999;125:969–72CrossRefGoogle ScholarPubMed
Hurst, W, Bailey, M, Hurst, B. Prevalence of external auditory canal exostoses in Australian surfboard riders. J Laryngol Otol 2004;118:348–51CrossRefGoogle ScholarPubMed
Whitaker, SR, Cordier, A, Kosjakov, S, Charbonneau, R. Treatment of external auditory canal exostoses. Laryngoscope 1998;108:195–910.1097/00005537-199802000-00007CrossRefGoogle ScholarPubMed
Vasama, JP. Surgery for external auditory canal exostoses: a report of 182 operations. ORL J Otorhinolaryngol Relat Spec 2003;65:189–92CrossRefGoogle ScholarPubMed
Hempel, JM, Forell, S, Krause, E, Muller, J, Braun, T. Surgery for outer ear canal exostoses and osteomata: focusing on patient benefit and health-related quality of life. Otol Neurotol 2011;33:83–6CrossRefGoogle Scholar
Fisher, EW, McManus, TC. Surgery for external auditory canal exostoses and osteomata. J Laryngol Otol 1994;108:106–10CrossRefGoogle ScholarPubMed
Barrett, G, Ronan, N, Cowan, E, Flanagan, P. To drill or to chisel? A long-term follow-up study of 92 exostectomy procedures in the UK. Laryngoscope 2015;125:453–6CrossRefGoogle ScholarPubMed
Timofeev, I, Notkina, N, Smith, IM. Exostoses of the external auditory canal: a long-term follow-up study of surgical treatment. Clin Otolaryngol 2004;29:588–94CrossRefGoogle ScholarPubMed
Frese, K, Rudert, H, Maune, S. Surgical treatment of external auditory canal exostoses [in German]. Laryngorhinootologie 1999;78:538–43CrossRefGoogle Scholar
Hetzler, D. Osteotome technique for removal of symptomatic ear canal exostoses. Laryngoscope 2007;117(1 Pt 2 suppl 113):114CrossRefGoogle ScholarPubMed
Sheehy, JL. Diffuse exostoses and osteomata of the external auditory canal: a report of 100 operations. Otolaryngol Head Neck Surg 1982;90:337–42Google ScholarPubMed
House, JW, Wilkinson, EP. External auditory exostoses: evaluation and treatment. Otolaryngol Head Neck Surg 2008;138:672–8CrossRefGoogle ScholarPubMed